Matthew Ruble, MD is the Chief Medical Officer of Discovery Behavioral Health. Dr. Ruble has a deep passion for advancing the behavioral health industry through clinical excellence and safety, publication, innovation, payer relations and collaboration. He has created a research collaboration between DBH and Brigham and Women’s Hospital, a health system affiliated with Harvard Medical School. Prior to his role with DBH, he spent 20 years of his career working with the Cambridge Health Alliance, a health system affiliated with Harvard Medical School. He was the Associate Training Director for Adult Psychiatry. He was responsible for integrating Primary Care and Behavioral Health services. To achieve this, he implemented training of clinicians, residents and medical staff in core evidence-based practices including:
• Cognitive behavioral therapy (CBT)
• Psychiatric curriculum development
• Research
• Publications
• Speaking nationally on evidence-based practices
• Integrated behavioral and physical health care delivery
As Lead Medical Director overseeing Clinical Behavioral Health Strategy, Innovation and Utilization Management for Humana, he was part of the team that reviewed and advised on all behavioral health technology innovations for investment and implementation. His expertise spans consistent delivery of innovative and value-based, industry-leading, and integrated behavioral health programs and services.
Dr. Ruble earned his Bachelor of Science degree from Simpson College in Indianola, Iowa. From there, he attended the Carver School of Medicine at the University of Iowa, earning his Doctor of Medicine degree. He then attended the Cambridge Health Alliance, an affiliate healthcare system of Harvard Medical School for his Internship, Residency, Chief Residency and Medical Education Fellowship. Dr. Ruble has academic articles in JAMA, Academic Psychiatry, Psychiatric Services, Population Health Management, Value in Health, J. of Child Adol. Psychopharm, and BMC Geriatrics.
Evidence based vs. measurement-based care: A review of in-treatment outcomes, treatment dropout and longitudinal follow-up in large national behavioral health sample
Measurement-based care enhances treatment outcomes but is rarely used in behavioral health (Jensen-Doss et al, 2018; Oslin et al., 2019. Further understanding how mental illness severity and recovery relate to continuity in behavioral health treatment can lead to mental health service delivery optimizations that improve care quality. After discharge, longitudinal follow-up, measurement, support and intervention in real-time may improve rates of relapse found in behavioral health post treatment when the risk of relapse is highest (Beaulieu et al, 2021; Lye et al. 2020; Carter et al., 2004, McFa...Read morerlane et al., 2008). Our study aimed to evaluate the association between treatment dropout and baseline depression severity, as measured by the Patient Health Questionnaire (PHQ-9), and the association between treatment dropout and baseline recovery, as measured by the Recovery Assessment Scale (RAS). Our data includes 17,277 patients treated at Discovery Behavioral Health, a large behavioral health care provider, with discharge dates between January 1, 2021 and December 31, 2022. Higher baseline suicidality, self-attitude, and depression PHQ-9 factors were associated with reduced risk of dropout, as were lower willingness to ask for help, not dominated by symptoms, and goal/success orientation scores from the RAS. Less...
Learning Objectives
- Explain the difference between evidence based and measurement-based care.
- Discuss and summarize behavioral health relapse rates.
- Identify when the risk of behavioral health relapse is highest.
- Explain the study findings related to change in depression severity and recovery from baseline to discharge for nationwide sample of >17,000 patients.
- Discuss the relationship found between depression severity and treatment dropout for nationwide sample of >17,000 patients.
- Discuss the relationship between mental health recovery and treatment dropout for nationwide sample of >17,000 patients.
- Explain the relationship found between baseline suicidality and treatment dropout for nationwide sample of >17,000 patients.
Target Audience
This educational activity is intended for behavioral health professionals, including Psychologists, Social Workers, Counselors, and MFT's.
Thursday, February 22, 2024
Live Interactive Webinar
11:00 AM PST - 12:30 PM PST
Register for this Webinar
EARN 1.5 CE Credit Hours
About the speakers
Dr. Matt Ruble
Chief Medical Officer
Rachel Wood, PhD PSY 27152
VP, Learning Health Systems
Rachel Wood, PhD, Vice President of Learning Health Systems for Discovery Behavioral Health, is a licensed clinical psychologist in the behavioral health field for more than twenty years. During her time at Discovery, she has provided direct service in various levels of care including outpatient and intensive outpatient and partial hospitalization programs, direct clinical care for adults and adolescents in PHP RTC and children in acute inpatient. In her current position, Rachel’s focus is to leverage technology to gather evidence to improve care, access, outcomes, and long-term recovery. Rachel implemented an app for alumni to provide ongoing education and support via connection with staff members and community members.
Rachel’s programs increase the frequency and intensity of support following discharge affording real-time intervention for at risk alumni. In March 2020 Dr. Wood launched Discovery’s mobile support apps allowing alumni and families to remain connected to program staff, receive educational content on mental health and offer and receive peer support following discharge. The app is an extension of the in-person alumni programs offered by Discovery to provide a supportive community that fosters long-term recovery. Rachel received her Doctor of Philosophy in Clinical Psychology and Master of Arts in Clinical Psychology from the California School of Professional Psychology, San Francisco. She completed the 1998 International Scholars Program at Imperial College London, England. Her dissertation was presented at the International Conference for the Psychology of Science & Technology.
Rachel’s programs increase the frequency and intensity of support following discharge affording real-time intervention for at risk alumni. In March 2020 Dr. Wood launched Discovery’s mobile support apps allowing alumni and families to remain connected to program staff, receive educational content on mental health and offer and receive peer support following discharge. The app is an extension of the in-person alumni programs offered by Discovery to provide a supportive community that fosters long-term recovery. Rachel received her Doctor of Philosophy in Clinical Psychology and Master of Arts in Clinical Psychology from the California School of Professional Psychology, San Francisco. She completed the 1998 International Scholars Program at Imperial College London, England. Her dissertation was presented at the International Conference for the Psychology of Science & Technology.
Philip Sung-En Wang, Dr. P.H., M.D.
Director of the Center for Learning Health Systems, Brigham and Women’s Hospital
Philip Wang, M.D., Dr.Ph., directs the new Learning Health Systems Center at Brigham and Women’s Hospital (BWH); the Center helps systems collect and integrate data on patients’ outcomes to continuously improve access, quality, equity, and outcomes from their care. Phil completed his undergraduate degree in biochemistry, medical school, masters and doctoral degrees in epidemiology, as well as psychiatry residency and chief residency, all at Harvard University. He was a faculty member at HMS and BWH until 2006, when he went to serve as Deputy Director of the National Institute of Mental Health (NIMH), and then Deputy Medical Director and Director of Research for the American Psychiatric Association (APA) where he oversaw the recent text revision of DSM. He returned to HMS in 2019 and served as Chair and Chief of Psychiatry, as well as Chief Science Officer at Cambridge Health Alliance. He is currently Co-PI of an NIMH P50 ALACRITY Center grant, as well as an NIMH T32 Fellowship Training grant through the Harvard-T.H. Chan School of Public Health. He has also been awarded research grants from CMS, NIDA, AHRQ, and the Robert Wood Johnson Foundation. He has served on several NIH Study Sections, as well as the FDA Psychopharmacologic Drugs Advisory Committee, FDA Medical Devices Advisory Committee, and FDA Endocrinologic and Metabolic Drugs Advisory Committee.
Agenda
11:00-12:30pm CE Presentation and Q&A
CE Information - Earn 1.5 CE Credit Hours
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Professional boards across different states vary in what they will accept. The approvals associated with this event offer credits to a target audience of behavioral health professions, across the widest number of states. If you are unsure if the provided approvals will be accepted by your board, we recommend reaching out to your board office for clarification regarding whether the offered CE’s will be accepted.
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